Pickett, Jack Joesph

Pickett, Jack Joesph is an sole proprietor health care provider with primary practice located at 8320 W Bluemound Rd Ste 125 , Milwaukee WI 53213-3367. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Pickett, Jack Joesph can be contacted via phone (414) 302-3800.

Contact Information

Primary practice address
8320 W Bluemound Rd Ste 125 Milwaukee WI 53213-3367
Phone: (414) 302-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 13185146 Wisconsin

Profile Details

NPI number 1861067530
LBN Legal business name Pickett, Jack Joesph
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2021
Last updated May 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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